MRS. HEREDESHEE LATRICE TAYLOR FNP
NPI 1669826657
Nurse Practitioner - Family in Matteson, IL
About Mrs. Heredeshee Latrice Taylor Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. HEREDESHEE LATRICE TAYLOR FNP (NPI 1669826657) is an individual family provider in Matteson, Illinois, licensed in Illinois (209014223) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Heredeshee Latrice Taylor Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Heredeshee Taylor reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Hixson, TN 37343
- Reassigned Medicare billing, Tennessee enrollment
- 3 clinicians in this Medicare group
Hixson, TN 37343
- Reassigned Medicare billing, Tennessee enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60443 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Heredeshee Taylor's NPI number?
The NPI number for Heredeshee Taylor is 1669826657. It was assigned to this individual provider in the NPPES registry on April 16, 2016. The provider is also known as Ms. Heredeshee Latrice Wilson Fnp.
Where is Heredeshee Taylor located?
Heredeshee Taylor practices at 3201 Holden Cir, Matteson, IL 60443. The listed phone number is (773) 531-9794.
What is Heredeshee Taylor's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Heredeshee Taylor enrolled in Medicare?
Yes. Heredeshee Taylor is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Heredeshee Taylor's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Heredeshee Taylor reassigns Medicare benefits to 2 organizations: Advanced Hyperbaric LLC (Hixson, TN) and Oasis Integrative Health LLC (Hixson, TN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Heredeshee Taylor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Heredeshee Taylor accept?
Health plans from BlueCross BlueShield of Tennessee list Heredeshee Taylor as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Heredeshee Taylor was last updated on June 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mrs. Heredeshee Latrice Taylor, FNP · NPI 1669826657
Family physician in Matteson, Illinois. Individual provider, active in the CMS NPPES registry since April 16, 2016.
## Identity
- **NPI:** 1669826657 (Entity type: Individual)
- **Enumerated:** April 16, 2016
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 209014223 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 3201 HOLDEN CIR, Matteson, IL 60443
- **Phone:** (773) 531-9794
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Advanced Hyperbaric LLC (NPI 1326887928, Hixson, TN); Oasis Integrative Health LLC (NPI 1194693846, Hixson, TN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** June 5, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1669826657) · Data from the CMS NPPES public registry.